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Children's Orthopaedics and Fractures pp 435–464Cite as

Developmental Dysplasia of the Hip

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Abstract

This common disorder, which ranges from mild, spontaneously resolving instability in the newborn to complete dislocation with secondary acetabular and proximal femoral deformity, continues to provoke debate about its assessment and management.

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References

  1. Strayer LM. The embryology of the human hip. Clin Orthop Rel Res 1971; 74:221–240.

    Google Scholar 

  2. Watanabe RS. Embryology of the human hip. Clin Orthop Rel Res 1974; 98:8–26.

    Article  Google Scholar 

  3. Le Damany P. Variation en potordeur du cotyle humain aux divers ages. Bulletin Société des Sciences et Medicine d’Ouex 1912; 1974; 12:410.

    Google Scholar 

  4. Ralis ZA, McKibbin B. Changes in shape of the human hip in joint during its development and their relationship to its stability. J Bone Joint Surg 1973; 55B:780–785.

    Google Scholar 

  5. Portinaro NM, Murray DW, Benson MKD. Microanatomy of the acetabular cavity and its relation to growth. J Bone Joint Surg (Br) 2001; 83:377–383.

    Article  CAS  Google Scholar 

  6. Trueta J. The normal vascular anatomy of the human femoral head during growth. J Bone Joint Surg 1957; 39B:358–394.

    Google Scholar 

  7. Chung SM. The arterial supply of the developing proximal end of the femur. J Bone Joint Surg Am 1976; 58:961–970.

    PubMed  CAS  Google Scholar 

  8. Klisic P, Pajic D. Progress in the preventative approach to developmental dysplasia of the hip. J Paediatr Orthop 1993; Part B, 2:108–111.

    Article  Google Scholar 

  9. Chan A, McCaul KA, Cundy PJ, et al. Perinatal risk factors for developmental dysplasia of the hip. Arch Dis Child Fetal Neonatal Ed 1997; 76:F94–100.

    Article  PubMed  CAS  Google Scholar 

  10. Carter CO, Wilkinson J. Genetic and environmental factors in the aetiology of congenital dislocation of the hip. Clinical Orthop 1960; 33:119–128.

    Google Scholar 

  11. Vogel I, Andersson JE, Uldbjerg N. Serum relaxin in the newborn is not a marker of neonatal hip instability J Pediatr Orthop 1998; 18(4):535–537.

    PubMed  CAS  Google Scholar 

  12. McKibbin B. Anatomical factors in the stability of the hip in the newborn. J Bone Joint Surg 1970; 52B:148–159.

    Google Scholar 

  13. Barlow TG. Early diagnosis and treatment of congenital dislocation of the hip. J Bone Joint Surg 1962; 44B:242–301.

    Google Scholar 

  14. Macnicol MF. Results of a 25-year screening programme for neonatal hip instability. J Bone Joint Surg 1990; 72B:1057–1060.

    Google Scholar 

  15. Roser W. Ueber angeborene Hueftverrenkung. Langenbeck’s Archiv fuer klinische Chirurgie 1879; 24:309–313.

    Google Scholar 

  16. Ortolani M. Un segno poco noto e sua importanza par la diagnosi di preluzzione congenitale dell’ance. Pediatria 1937; 45:129.

    Google Scholar 

  17. Von Rosen S. Diagnosis and treatment of congenital dislocation of the hip in the new-born. J Bone Joint Surg 1962; 44B:284–291.

    Google Scholar 

  18. Palmėn K. Preluxation of the hip joint. Diagnosis and treatment in the newborn and the diagnosis of congenital dislocation of the hip joint in Sweden during the years 1948–60. Acta Paediatr (Suppl 129) 1961;50: 1–71.

    Google Scholar 

  19. Godward S, Dezateaux C. Surgery for congenital dislocation of the hip in the UK as a measure of outcome of screening. Lancet 1998; 351(9110):1149–52.

    Article  PubMed  CAS  Google Scholar 

  20. Graf R. Classification of hip joint dysplasia by means of sonography. Arch Orthop Trauma Surg 1984; 102:248–255.

    Article  PubMed  CAS  Google Scholar 

  21. Lehmann HP, Hinton R, Morello P, Santoli J. Developmental dysplasia of the hip practice guideline: technical report. Committee on Quality Improvement, and Subcommittee on Developmental Dysplasia of the Hip. Pediatrics 2000; Apr. 105(4):E57.

    Article  PubMed  CAS  Google Scholar 

  22. Clegg J, Bache CE, Raut W. Financial justification for routine ultrasound screening of the neonatal hip. J Bone Joint Surg 1999; 81B:852–857.

    Article  Google Scholar 

  23. Morin C, Harcke HT, MacEwan GD. The infant hip: real-time US assessment of acetabular development. Radiology 1985; 157:673–677.

    PubMed  CAS  Google Scholar 

  24. Suzuki S, Kasahara Y, Futami T, et al. Ultrasonography in congenital dislocation of the hip. Simultaneous imaging of both hips from in front. J Bone Joint Surg 1991; 73B:879–83.

    Google Scholar 

  25. Clarke NMP, Harcke HT, McHugh P, et al. Real-time ultrasound in the diagnosis of congenital dislocation and dysplasia of the hip. J Bone Joint Surg 1985;67B:406.

    Google Scholar 

  26. Engesaeter LB, Wilson DJ, Nag D, Benson MK. Ultrasound and congenital dislocation of the hip. J Bone Joint Surg 1990; 72B:197–200.

    Google Scholar 

  27. Dunn PM. Perinatal observations on the aetiology of congenital dislocation of the hip. Clin Orthop 1976; 119:11.

    PubMed  Google Scholar 

  28. Bertol P, Macnicol MF, Mitchell GP. Radiographic features of neonatal congenital dislocation of the hip. J Bone Joint Surg 1982; 64B:176–179.

    Google Scholar 

  29. Tönnis D. Congenital Dysplasia and Dislocation of the Hip. Berlin: Springer; 1986.

    Google Scholar 

  30. Wiberg C. Studies on dysplastic acetabulae and congenital subluxation of the hip joint. Acta Chirurgica Scandinavica 1939; Suppl 58.

    Google Scholar 

  31. Severin E. Contribution to the knowledge of congenital dislocation of the hip joint. Acta Chir Scandinavica 1941; 84: Suppl 63.

    Google Scholar 

  32. Salter RB, Kostuik J, Dallas S. Avascular necrosis of the femoral head as a complication of treatment of congenital dislocation in young children: a clinical and experimental study. Can J Surg 1969; 12:44.

    PubMed  CAS  Google Scholar 

  33. Kalamchi A, MacEwan GD. Avascular necrosis following treatment of congenital dislocation of the hip. J Bone Joint Surg 1980; 62A:876–888.

    Google Scholar 

  34. Bradley J, Weatherill M, Benson MKD. Splintage for congenital dislocation of the hip. Is it safe and reliable? J Bone Joint Surg 1987; 69B:259–263.

    Google Scholar 

  35. Grill F, Bensahel H, Canadell J, et al. The Pavlik harness in the treatment of congenital dislocating hip. J Pediatr Orthop 1988; 8(1):1–8.

    Article  PubMed  CAS  Google Scholar 

  36. Wilkinson AG, Sherlock DA, Murray GD. The efficacy of the Pavlik harness, the Craig splint and the von Rosen splint in the management of neonatal dysplasia of the hip. J Bone Joint Surg Br 2003; 85:1085–1086.

    Google Scholar 

  37. Nakamura J, Kamegaya M, Saisu T, et al. Treatment for developmental dysplasia of the hip using the Pavlik harness. J Bone Joint Surg 2007; 89-B:230–235.

    Article  Google Scholar 

  38. Macnicol M F. Congenital dislocation of the hip. In: Bennet GC, ed. Paediatric Hip Disorders. Oxford: Blackwell; 1987:64–113.

    Google Scholar 

  39. Segal LS, Schneider DJ, Berlin JM, et al. The contribution of the ossific nucleus in the structural stiffness of the capital femoral epiphysis: a porcine model for DDH. J Pediatr Orthop 1999; 19:433–437.

    PubMed  CAS  Google Scholar 

  40. Luhmann S, Schoenecker PL, Anderson AM, Bassett G. The prognostic significance of the ossific nucleus in the treatment of congenital dysplasia of the hip J Bone Joint Surg 1998; 80-A:1719–1727.

    Google Scholar 

  41. Weinstein SL, Ponseti IV. Congenital dislocation of the hip: open reduction through a medial approach. J Bone Joint Surg 1979; 61A:119–124.

    Google Scholar 

  42. Ramsey PL, Hensiger RN, MacEwan GD. Congenital dislocation of the hip. Use of the Pavlik harness in the child during the first 6 months of life. J Bone Joint Surg Am 1976; 58:1000–1004.

    PubMed  CAS  Google Scholar 

  43. McNally EG, Tasker A, Benson MK. MRI after operative reduction for developmental dysplasia of the hip. J Bone Joint Surg Br 1998; 79:724–726.

    Article  Google Scholar 

  44. Ludloff K. The open reduction of congenital hip dislocation by an anterior incision. Am J Orthop Surg 1913; 10:438–454.

    Google Scholar 

  45. Hey-Groves E. The treatment of congenital dislocation of the hip. Robert Jones Birthday Volume. Oxford: Oxford University Press; 1928.

    Google Scholar 

  46. Klisic P. Combined procedure of open reduction and shortening of the femur in treatment of congenital dislocation of the hip in older children. Clin Orth 1976; 119:60.

    Google Scholar 

  47. Gibson PH, Benson MKD. Congenital dislocation of the hip. Review at maturity of 147 hips treated by excision of the limbus and derotation osteotomy. J Bone Joint Surg 1982; 64B:169–175.

    Google Scholar 

  48. Sangavi SM, Szoke G, Murray DW, Benson MK. Femoral remodeling after subtrochanteric osteotomy for developmental dysplasia of the hip. J Bone Joint Surg 1996; 8B:917–923.

    Article  Google Scholar 

  49. Pemberton PA. Pericapsular osteotomy of the ilium for treatment of congenital subluxation and dislocation of the hip. J Bone Joint Surg 1965; 47A:65–86.

    Google Scholar 

  50. Salter RB. Innominate osteotomy in the treatment of congenital dislocation and subluxation of the hip. J Bone Joint Surg 1961; 43B:518–539.

    Google Scholar 

  51. Macnicol MF, Bertol P. The Salter innominate osteotomy: should it be combined with concurrent open reduction? J Paediatr Orthop B 2005; 14:415–21.

    Article  Google Scholar 

  52. Chiari K. Beckenosteotomie zur Pfannendachplastik. Wiener Medizinische Wochenschrift 1953; 103:707–713.

    PubMed  CAS  Google Scholar 

  53. Williamson DM, Benson MKD. Late femoral osteotomy in congenital dislocation of the hip. J Bone Joint Surg 1988; 70B:614–618.

    Google Scholar 

  54. Kalamchi A. Modified salter osteotomy. J Bone Joint Surg Am 1982; 64:183–187.

    PubMed  CAS  Google Scholar 

  55. Morscher E. Our experience with Salter’s innominate osteotomy in the treatment of hip dysplasia. In: Weil UH, ed. Progress in Orthopaedic Surgery. vol 2. Berlin: Springer; 1978.

    Google Scholar 

  56. Dega W, Krol J, Polakowski L. Surgical treatment of congenital dislocation of the hip in children; a one step procedure. J Bone Joint Surg Am 1959; 41A(5):920–934.

    Google Scholar 

  57. Macnicol MF. Color Atlas and Text: Osteotomy of the Hip. London: Mosby-Wolfe; 1995.

    Google Scholar 

  58. Klaue K, Durnin CW, Ganz R. The acetabular rim syndrome. A clinical presentation of dysplasia of the hip. J Bone Joint Surg 1991; 73B:423–429.

    Google Scholar 

  59. Ganz R, Klaue K, Vinh TS, Mast JW. A new periacetabular osteotomy for the treatment of hip dysplasias. Technique and preliminary results. Clin Orthop 1988; 232:26–36.

    PubMed  Google Scholar 

  60. Staheli LT, Chew DE. Slotted acetabular augmentation in childhood and adolescence. J Pediatr Orthop 1992; 12(5):569–80.

    PubMed  CAS  Google Scholar 

  61. Reynolds DA. Chiari innominate osteotomy in adults: technique, indications and contraindications. J Bone Joint Surg 1986; 68B:45–54.

    Google Scholar 

  62. Benson MKD, Jameson-Evans DC. The pelvic osteotomy of Chiari: an anatomical study of the hazards and misleading radiological appearances. J Bone Joint Surg 1976; 58B:164–168.

    Google Scholar 

  63. Macnicol MF, Lo HK, Yong KF. Pelvic remodeling after the Chiari osteotomy: a long-term review. J Bone Joint Surg [Br] 2004; 86-B:648–54.

    Article  Google Scholar 

  64. Högh J, Macnicol MF. The Chiari pelvic osteotomy. A long-term review of clinical and radiographic results. J Bone Joint Surg 1987; 69B:365–373.

    Google Scholar 

  65. Windhager R, Pongracz N, Schonecker W, Kotz R. Chiari osteotomy for congenital dislocation and subluxation of the hip. Results after 20 to 34 years follow-up. J Bone Joint Surg Br 1991; 73(6):890–5.

    PubMed  CAS  Google Scholar 

  66. Colonna PC. Capsular arthroplasty for congenital dislocation of the hip: indications and technique. J Bone Joint Surg 1965; 47A:437.

    Google Scholar 

  67. Pozo JL, Cannon SR, Catterall A. The Colonna-Hey Groves arthroplasty in the late treatment of the hip. A Long-Term Rev 1987 Mar; 69(2):220–228.

    CAS  Google Scholar 

  68. Macnicol MF, Makris D. Distal transfer of the greater trochanter. J Bone Joint Surg 1991; 73B:838–841.

    Google Scholar 

  69. El-Mowafi H. Outcome of pelvic support osteotomy with the Ilizarov method in the treatment of the unstable hip joint. Acta Orthop Belg 2005; 71:686–691.

    PubMed  Google Scholar 

  70. Wedge JH, Wasylenko MJ. The natural history of congenital disease of the hip. J Bone Joint Surg 1979; 61-B:334–338.

    CAS  Google Scholar 

  71. Malvitz TA, Weinstein SL. Closed reduction for congenital dysplasia of the hip. Functional and radiographic results after an average of 30 years. J Bone Joint Surg 1994; 76A:1777–1792.

    Google Scholar 

  72. Morcuende JA, Meyer MD, Dolan LA, Weinstein SL. Long-term outcome after open reduction through an anteromedial approach for congenital dislocation of the hip. J Bone Joint Surg 1997; 79A:810–817.

    Google Scholar 

  73. Angliss R, Fujii G, Pickvance E, et al. Surgical treatment of late developmental displacement of the hips: results after 33 years. J Bone Joint Surg 2005; 87-B:384–394.

    Article  Google Scholar 

  74. Thomas S, Wedge J, Salter RB. Outcome at 45 years after open reduction and innominate osteotomy for late-presenting developmental dislocation of the hip. J Bone Joint Surg Am 2007; 89:2341–2350.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Nuffield Orthopaedic Centre Oxford, Oxford, UK

    Michael K.D. Benson

  2. University of Edinburgh; Royal Hospital for Sick Children; Edinburgh and Murrayfield Hospital; Royal Infirmary, Edinburgh, UK

    Malcolm F. Macnicol

Authors
  1. Michael K.D. Benson
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  2. Malcolm F. Macnicol
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Editor information

Editors and Affiliations

  1. Nuffield Orthopaedic Centre, University of Oxford, Windmill Road, Oxford, OX3 7LD, United Kingdom

    Michael Benson

  2. Sick Children, Great Ormond Street Hospital for, Greater Ormond Street, London, WC1N 3JH, United Kingdom

    John Fixsen

  3. Orthopaedic Hospital, Princess Margaret Rose, Frogston Road West 41-43, Edinburgh, EH10 7ED, United Kingdom

    Malcolm Macnicol

  4. Orthopädie, Olgahospital, Bismarckstr. 8, Stuttgart, 70176, Germany

    Klausdieter Parsch

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Benson, M.K., Macnicol, M.F. (2010). Developmental Dysplasia of the Hip. In: Benson, M., Fixsen, J., Macnicol, M., Parsch, K. (eds) Children's Orthopaedics and Fractures. Springer, London. https://doi.org/10.1007/978-1-84882-611-3_26

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  • DOI: https://doi.org/10.1007/978-1-84882-611-3_26

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